Basal dental implantation, what is the implantologist hiding from you?

The absence of one or more teeth negatively affects not only the functioning of the jaw, but also the gastrointestinal tract. Ignoring missing teeth leads to facial deformation and serious oral pathologies. The person begins to feel embarrassed to smile and talk normally, becoming withdrawn and taciturn.

Modern dentistry offers several types of dental implantation: endosseous (intraosseous), basal, endodonto-endosseous, intramucosal. Among them, basal implantation is the most controversial technology.

Some clinics offer it as a revolutionary breakthrough, allowing you to quickly restore teeth in one go, even with a lack of bone tissue. Others, including our YuliSTOM clinic, consider implantation to be an outdated type of implantation, often rejected by the human body’s immune system. Why are dentists so ambivalent about this method?

What is basal implantation?

Let's try to give an analogy to make it clear what basal implantation is. If you place a stick in the ground using only the top loose layer, it will not hold well. But if you use deeper layers that are not washed out by water or exposed to other external influences, the stick can be secured much more firmly and will last longer. The same goes for basal dental implantation.

Basal complex is a type of implantation in one stage with immediate loading. The main difference between the basal implantation method and other protocols is that the installation of implants does not require the presence of alveolar cancellous bone, the most central part of the jaw bone tissue. It is used to install most classical implants. Basal implants work with fundamentally different sections: the cortical plate, basal bone, buttresses of the skull, nasal, zygomatic and sphenoid bone. To ensure that the bone and implant have a large contact surface, artificial roots are installed at a certain angle. Angling also helps to select the most suitable areas of bone and place implants bypassing the sinuses and nerve endings.

Unlike classic implants with a rough surface, basal implants are smooth and have a special antimicrobial coating. According to many studies, it is the absence of a rough surface in combination with the use of deep bone sections for implant installation that is an excellent prevention of peri-implantitis and, as a result, minimizes the risk of rejection in the long term. This is especially true in the presence of inflammatory processes in the oral cavity and periodontal tissues in particular.

The method is ideal for patients with complete edentia and is not suitable if only one tooth needs to be restored. The minimum is three missing teeth.

Types of Basal Implants

There are two types of basal implants: disc and compression. Disc ones are not currently used, having given way to more modern compression ones.

Disc implants

During the era of basal dental implantation, disc implants, also called lateral basal implants, were developed and actively used. To install them, a rather traumatic operation was required, during which the gums were cut and the bone was sawed out. For this reason, disc basal implants were gradually replaced from clinical practice by more convenient compression ones.

Compression implants

The development of dental surgery has led to the emergence of a new generation of basal implants - compression or root-shaped. These implants are similar to conventional ones, but are larger in size, allowing them to “reach” the basal layer of bone.

Basal implants are produced in different countries and are represented on the market by a large number of manufacturers. Dental clinics usually use implants from 2-3 manufacturers - this is enough to cover the entire price range.

Basal method of dental implantation - indications and contraindications

The main restrictions on refusing basal implantation are the absence of 1–2 teeth, as well as general contraindications to any other surgical intervention. At the same time, Basal complex allows you to solve problems that classical implantation cannot solve.

Indications for basal implantation are complete or multiple absence of teeth, which is accompanied by the following problems and needs:

• advanced forms of periodontitis and other dental diseases, when the only way out is their removal, for example, with a high degree of mobility or loss, in the presence of strong cystic formations on the roots;
• acute and chronic forms of gum disease, accompanied by severe recession of the gingival contour and exposure of the roots;
• inflammation and acute atrophy of spongy bone tissue;
• desire to change dentures to implants;
• the need to speed up treatment;
• reluctance or inability to grow bone;
• advanced age of the patient;
• restoration of teeth in experienced smokers.

Contraindications

Absolute and relative contraindications are noted. With the former, even the possibility of implantation is excluded. Such restrictions include systemic diseases for which any type of implantation is contraindicated. This:

• hematopoietic diseases;
• immunodeficiency;
• acute types of arthritis and rheumatism;
• severe stage of diabetes mellitus;
• mental disorders;
• dysfunction of the osteonal systems, in which bone remodeling becomes impossible;
• cancer, etc.

There is a group of contraindications related to the patient's condition, which may change over time.

• The length of the defect is less than 3 teeth.
• People treated with intravenous bisphosphonates.
• Inability to chew bilaterally (due to paralysis of the masticatory muscles, for example). This limitation is due to the overload to which the side on which they chew constantly is exposed.
• Pregnancy and lactation.
• Age under 18 years.

Features of the Basal complex

• No bone grafting is required.
• Basal implantation and tooth extraction are easily combined and are carried out in just one approach.
• Before the operation, a thorough 3D diagnosis is carried out, as well as three-dimensional modeling of the treatment process.
• At the surgical stage, templates are used to facilitate the process of implantation and allow their installation to be carried out as accurately as possible. During the implantation process, all manipulations are also monitored using 3D X-ray diagnostic technologies.
• Prosthetics take place within 3 days to ensure chewing load on the bone. Dentures can be fixed to implants using either cement or screws.
• When using zygomatic implants, they are fixed at an angle, bypassing the maxillary sinuses.
• For basal implantation, solid one-piece or one-component implants are used in an amount of at least 8 pieces.

Disc brands

Disk designs include the following modifications.

Basal Osseointegrated Implant (BOI). This is a lateral (side) implant, installed into the alveolar bone from the side. It is a rod, at one end of which there is an abutment, at the other - a plate perpendicular to the rod, placed in the basal bone. The number of plates varies from 1 to 3. There is a bending area near the abutment. The prosthesis is attached to the head using cement.

Transosseous implants (TOI – Trans-Osseous Implant). Designs of this type also refer to lateral ones, installed from the side. Usually placed in the canine area. The TOI abutment has a 2.7 mm external hexagon and internal threads for attaching the prosthesis.

The main difference between disc forms is installation on the side of the gum by detaching a flap and preparing the lateral bone of the alveolar process.

Why does the installation of basal implants take place without bone grafting?

Classic two-stage dental implantation is only possible if there is a sufficient amount of cancellous bone tissue. If there is a deficiency, bone augmentation is required before surgery. The basal method does not require this. Everything is explained simply:

1. Other layers of bone are used, the density and hardness of which does not change due to the absence of teeth, since their chemical structure is different from the alveolar (spongy) layer.
2. For the basal method, solid implants are used. They are often longer and thinner than the classic two-piece. This allows implants to be installed into the bone tissue at an angle with penetration into the deep layers.
3. Basal implants are installed according to the principle of compression of bone tissue around its axis when screwed. That is, during implantation, the bone is not lost, but is compacted around the artificial roots. In this way, excellent primary stabilization is achieved with a force of up to 100 Newtons (for comparison: with the classical approach - no more than 30 - 40 Newtons). This approach has been used for more than 50 years for fractures and joint injuries. The principle of operation is also known by the name of the scientist-inventor G.A. Ilizarov.
4. After fixing the implants in the bone, metabolic processes are immediately activated. The solution to this problem is taken over by the prosthesis. The patient chews food, improving blood supply to bone tissue. The cells are revived, replacing old and damaged ones, filling the space and increasing bone density around the artificial roots. Osseointegration occurs faster.
5. The prosthesis has another important task - to fasten, connect or splint the implants with its frame, thus eliminating the risk of their mobility and displacement of the structure. The metal base connecting the implants to the prosthesis does not change its position even under heavy loads.

What types of implants are used?

For the basal implantation protocol, different implant options are used:

• disc (or lateral) - an outdated type, practically not used today due to high trauma, the need to cut the gums and saw out the bone;
• T-shaped disc (biocortical) - with a lower screw rod and a wide sharp thread for better stabilization in bone tissue;
• classic - their thread allows you to tightly fix the implants in the cortical layers of the bone and guarantee their reliable stability;
• compression (root-shaped) - have a microscopic thread on a titanium rod and a special abrasive coating for faster healing in both the cancellous and basal bone;
• combined - equipped with biocortical and compression threads at the same time, designed for implantation into the alveolar socket from an extracted tooth;
• zygomatic – placed in the upper jaw at an angle of 30-40 degrees.

Pros and cons of basal implantation

1. Time frame – prosthetics using this method will not take the patient much time. According to the protocol, implants should be “loaded” on day 3. Maximum taking into account the need to prepare for the operation, with all possible corrections of the prosthesis to suit the patient’s bite, compliance with the requirements for aesthetics and beauty of the smile, the entire treatment will take no more than 7 days.
2. Appearance - the artificial gum is made of translucent acrylic, there is very little of it. When smiling and talking, no one will notice the border of the prosthesis. And the base will brilliantly cope with its task - it will protect the gums from injury in case of inflammation and hide existing cosmetic defects of the mucous membrane, if any.
3. Rejuvenation is a pleasant “side” effect of prosthetics. Wrinkles around the mouth will be smoothed out due to the normalization of the functioning of the facial muscles.
4. Pleasure from food - you can eat everything! Chewing food is welcome - it speeds up the process of bone tissue regeneration.
5. Teeth can be restored even with a large deficiency of bone tissue.
6. Contraindications - minimum. Even smoking, inflammation of bone tissue, periodontitis, and periodontal disease are not an obstacle to surgery. Implants work with deep parts of the bone, which are sterile and inflammation does not reach them.
7. The implants are securely fixed - the fixation force is 2 - 3 times higher than that of classic models.
8. Rehabilitation is very fast. Thanks to minimal trauma and the use of bio-membranes, which are created from the patient’s own blood plasma, tissues are quickly restored. There is only mild pain, comparable to the discomfort after tooth extraction. It goes away in 3 – 7 days. On an individual basis, the doctor prescribes antibacterial and painkillers that will reduce pain to “no”.
9. The risk of implant rejection is minimal. Fixation in sterile parts of the bone tissue and preservation of the gums eliminate inflammation. An individually developed 3D plan for installing implants for each patient and the same control throughout the operation to install implants does not allow errors.
10. The prosthesis is easy to care for.
11. The prices are incredible. Basal implantation will cost less than classic two-stage implantation.

The main disadvantage of basal implantation is that Russia currently lacks qualified specialists. While implantation using the Basal complex method requires experience and knowledge. In one person, the doctor must be a surgeon with excellent knowledge of the anatomical structure of the maxillofacial system, an experienced orthopedist, an implantologist himself, as well as a competent user of software for modeling treatment results in 3D.

What is the difference with other solutions?

The basal implantation technique can be reduced to the main 5 points:

1. Treatment is available to all patients wishing to receive implants, regardless of the degree of bone loss or the presence or absence of residual teeth.
2. Only one operation is required. Basal implants are placed and splinted in an immediate or early loading protocol when using long-term temporary bridges. The final orthopedic design is installed after 8-50 weeks. In some cases, the final prosthesis can be placed immediately.
3. Fewer surgeries and other treatment steps reduce overall costs. If complications arise, quick and effective measures can be taken.
4. Basal implants practically do not disrupt the blood flow in the bone. In any case, they do this to a significantly lesser extent than comparable classical implants.
5. Thanks to the possibility of immediate exercise, patients can immediately return to their normal lifestyle.

Before basal implants were available, all patients with insufficient bone to immediately place implants were required to undergo the following major procedures::

• Removal of all teeth (if necessary), removal of granulation tissue, cysts and other unwanted formations from the bone.
• Bone augmentation after approximately 2 months (problems may arise at the site of bone harvesting) followed by a 6-month waiting period.
• Introduction of axial implants (screw implants).
• Finally, after another 6 months, installation of a bridge or other orthopedic structure.

In addition to this already difficult treatment plan, soft tissue correction procedures often had to be performed. Throughout these four stages of treatment, surgical risks accumulate: despite all efforts, and contrary to published statements, the fewer surgical interventions, the lower the risk of rejection and complications.

In addition, the features of the technique make it possible to install basal implants in patients with HIV and hepatitis (due to the non-traumatic operation of installing the implant, the process of tissue rehabilitation is several times faster than with flap surgery for installing two-component implants).

Computer-aided treatment planning

It is impossible to prepare for basal implantation without 3D technologies. Bone tissue will not grow, so it is important to carefully and accurately plan treatment. The computer helps you select a model, calculate the angle of inclination of the implant, and choose the ideal location for it.

Computed tomography is also strictly required. From the images you can evaluate the quantity, quality and characteristics of bone tissue. Implants should not touch the sinuses or nerves. The examination results are processed through a computer, and by the time treatment begins, the doctor is very clear about the next steps. A detailed plan for the placement of implants and the developed parameters of the prosthesis helps you not to go astray.

In addition to computer technology, when creating individual orthopedic structures, special devices are used to measure the characteristics of the patient’s bite and occlusion.

Before installing the implants, again using virtual modeling, an individual template is prepared from elastic material for each specific patient. It is fixed on the gums - this stencil allows you to install the implant perfectly and without displacement in accordance with the chosen location.

Slab structures

Implants BOI-BAC and BOI-BAC2. They are installed on the upper jaw transsinusally using screws - vertical to the palatine bone, lateral - to the lateral cortical bone of the maxillary sinus.

Other types of implants

TPG Implant (Tuberopterygoid). There are four zones, three of which represent threads of different diameters and pitches. The polished neck of the implant is located at the top, where the rod contacts the soft gum tissue. The design and surface treatment of TPGs makes them highly resistant to bacterial contamination and peri-implantitis.

ZSI Implant (Zygoma Screw). Implants are designed specifically for installation in the cheekbone. Long (35-50 mm) rods have an aggressive thread at the end for screwing into dense bone tissue. There is a bending area near the abutment, which allows, when tilting the implant, to set the abutment in a normal position relative to the alveolar ridge.

What prostheses are used?

A model of the prosthesis is created before treatment using a computer program; the design is subsequently improved and verified using impressions, which are taken after the installation of basal implants. The mucous membranes need time to recover, so immediately after fixing the implants, the prostheses are not attached. It is recommended to wait 1 – 2 days.

For the first six months to a year, as a rule, an adaptive prosthesis with a metal frame and plastic crowns is installed (if desired, it can be left for its entire service life - up to 3 - 5 years). When the implants take root (and this will take a maximum of a year), the temporary prosthesis must be replaced with a permanent one. Crowns can be made of zirconium or metal ceramics.

But there is another option, which modern technologies allow: in 75% of cases, you can immediately install not a temporary, but a permanent prosthesis made of polymer materials. No need for re-prosthetics. Such a modern prosthesis lasts at least 10 years and is subject to adjustment to the bite directly in the patient’s mouth. The structure can be secured using cement or screw fastening.

Screw designs

Compression (KOS – Compression Screw Design). A special feature of KOS implants is a special compression thread, which, when the rod is screwed in, expands and compacts the bone tissue.

Bicortical (BCS – Bi-Cortical Screw Design). BCS implants have a screw-shaped thread at the end with developed sharp blades. This shape is optimal for attachment to the basal (cortical) bone. In the area of ​​the cancellous bone of the alveolar ridge there is a smooth rod, which ends with a head (abutment) for attaching the prosthesis. Implants have bending points to give the head the position necessary to fix the prosthetic structure.

BCS are represented by a large number of modifications with threads of different diameters and different numbers of turns. The thread blades of some modifications have holes and grooves for better osseointegration. The diameter of the threaded part ranges from 3.5 to 12 mm, the length varies from 10 to 38 mm.

The surface of the rods from the head to the thread is polished to prevent the spread of bacteria down the rod into the osseointegration area.

A wide range of BCS sizes allows you to select a design suitable for a specific clinical case. In case of thin cortical bone, implants with a small number of wide turns are used. If the basal bone is of sufficient thickness, it is advisable to use implants with a small diameter but a large number of turns.

Combined (compression + bicortical) implants (KOS Plus Implants). KOS Plus have two types of threads at the same time - a compression thread, cut in the upper part of the rod and intended for fastening into the cancellous bone, and a screw-shaped thread, located at the end of the rod and intended for cutting into the basal bone.

What can be used instead of Basal complex?

One alternative solution is to install conventional removable dentures. However, the service life of orthopedic structures fixed only on the gums is short-lived, they are inconvenient to use, and they also lead to bone tissue atrophy, which requires frequent relining. An alternative may be solutions such as implantation of All-on-4 or All-on-6 - on four or six implants, respectively. These protocols are also used in cases of complete absence of teeth and involve implantation with immediate loading. But unlike basal implantation, they have certain limitations in the volume and quality of the jaw bone and are not used in cases of pronounced atrophic processes.

Dental implants: types and prices with photos

The quality of basal implants from all well-known manufacturers is approximately comparable - it is very difficult to identify the leader among them, since it is impossible to objectively compare the number of complications, service life and the presence of defects. In addition, to a certain extent, these indicators depend on the “straightforwardness” of the doctor installing the implant. Therefore, briefly about implants from well-known manufacturers:

• Nobel Biocare (Switzerland). The implants of this company are made of titanium, which has a high degree of biocompatibility. The external coating of Nobel implants is represented by TiUnit material, which is titanium oxide enriched with phosphorus and has a high degree of crystallization. This coating provides moderate surface roughness of the implant, which increases their survival rate and reduces adaptation time. Nobel Biocare is one of the leaders in the production of implants and equipment for implantology; the company provides a lifetime guarantee on its products. The quality of the product also corresponds to the price - the cost of an implant for basal dental implantation starts from 60,000 rubles.
• Straumann Roxolid (Switzerland). This company uses a special alloy in the production of its implants, which in some respects is not inferior to titanium. Dental implants from Straumann Roxolid are thin, short implants with a special coating that facilitates installation in patients with several concomitant diseases. The price of these implants is slightly lower than the prices of flagships from Nobel - the average cost of one Straumann Roxolid implant is 50,000 rubles.
• Oneway Biomed (Switzerland). Biomed implants are recognized leaders around the world among all immediate loading implants. The Immediate Load implantation protocol developed by the company in addition to implants made the prosthetic procedure so convenient that many implantologists with conservative views began to introduce it into their practice. Biomed implants are distinguished by a super-smooth surface that prevents the absorption of microorganisms. These implants are suitable for prosthetics in the most advanced cases - in patients with severe atrophy of the jaw bone tissue and severe periodontitis. With the cost of one Biomed implant being 25-35 thousand rubles, basal dental implantation of one jaw will cost about 200,000 (all-in-6 or all-in-4 protocol).
• Noris Medical (Israel). The implants from this manufacturer are focused on zygomatic (zygomatic) implantation, so their length exceeds the length of all other implants. In more than half of cases, zygomatic implantation is associated with the need to compensate for bone tissue deficiency. In this regard, Noris Medical offers doctors complete systems that include all the necessary components. The price of basal dental implantation with upper jaw prosthetics using all-in-6 or all-in-4 protocols using implantation systems from Noris Medical can reach several hundred rubles (this is the cost of zygomatic implantation of the upper jaw).
• Ankylos (Germany). The popularity of this company's products is due to their lower price category. The design features of implants from this manufacturer reduce the likelihood of their loosening. In the manufacture of implants, the patented FIRADENT Plus technology is used, thanks to which, after installation, more active formation of bone tissue is observed in the peri-implant space.
• BioHorizons (USA). The fame of this American brand is due to some extent to the fact that the company has developed a special coating for its implants - Laser-Lok. Thanks to it, the fusion of the implant with the bone tissue is accelerated. The company also patented the TeethXpress technique, which is a modification of All-on-6 and is intended for complete jaw replacement. This technique has only one drawback - for high-quality prosthetics it requires absolute parallelism between the implants, which cannot always be ensured in case of severe atrophy of bone tissue.
• Osstem Implant (South Korea). The South Korean company is one of the top 5 manufacturers of dental implants and implantation systems, accounting for 80% of the South Korean market. The company's products are quite affordable - the cost of one implant is 20,000 rubles. Since 2006, Osstem has been producing implants at its plant in the USA and selling them under the HIOSSEN brand.

What is better – classic or basal implantation?

Basal implantation is indicated for complete or almost complete absence of teeth. It is carried out both in case of bone tissue deficiency and in the presence of acute forms of periodontal tissue diseases. Classic implantation will not work in this case - the operation requires bone tissue augmentation. And this is extremely difficult, expensive and will take a lot of time. Therefore, in such situations, patients often hear a refusal and a recommendation to stay with removable dentures. We can safely say that today there is no full-fledged alternative to the basal implantation technique, especially in complex clinical cases.

Possible consequences

Surgeons at some dental clinics lure people with promises of installing basal implants for existing inflammatory diseases, existing cancer, and type I diabetes. In all of these cases, a person’s immunity is sharply reduced, the survival of a foreign body is difficult and can have a number of undesirable consequences:

• peri-implantitis (infectious inflammation of soft tissues with a purulent nature) - often occurs with an untreated inflammatory process;
• bad breath coming from the implantation site;
• damage to blood vessels with hematoma and suture dehiscence;
• the presence of pain in the temporomandibular joint;
• complete resorption of tissue around polished discs;
• exposure of the necks of the implants, its cutting through the bone tissue and the mucous membrane of the intraosseous part - this is observed already in the first 1-5 years;
• loosening and mobility of the implant is a natural reaction of bone tissue to improper force load;
• implant rejection.

The reason for the rejection of the basal implant can be several reasons: from an incorrectly selected product to incomplete diagnosis and the doctor’s omission of inflammatory processes. The patient's body can also reject the implant if there is intolerance to the artificial root material. Banal non-compliance with hygiene rules for caring for the oral cavity after implantation, alcohol, smoking, and drugs also provoke rejection.

Patients easily buy into the “Fast and Cheap” advertising of basal implantation that seems optimal to them. As a result, they not only lose the implant, but also suffer destruction of the soft and bone tissue around it. Due to the loss of bone crest volume, correction of the consequences of basal implantation can take years for clients. Moreover, you will have to spend amounts tens of times higher than the cost of classical prosthetic technology.

Cost of treatment

The final price of basal implantation in Moscow depends on the complexity of the case, the manufacturer of the implants, as well as the materials of the selected denture. However, the patient always has a choice. Thus, the cost of basal implantation on the upper or lower jaw is 265 thousand rubles with an adaptive prosthesis, the service life of which is 3–5 years. With the installation of a permanent polymer ceramic-composite prosthesis, the installation of basal implants will cost 350 thousand rubles. With the fixation of a metal-ceramic prosthesis, the entire procedure will cost 450 thousand rubles.

FAQ

1. Is it possible to immediately install a permanent prosthesis on basal implants? It is possible, the essence of basal implantation is the immediate loading of the implants with a denture.

2.Will there be pain after basal implantation, for how long? They will. Any surgical intervention is traumatic and painful. The duration of pain depends on the patient’s individual pain threshold and the number of implants. On the 14th day, the pain significantly decreases or stops.

3. Which technique should I choose to make the implants last longer: basal or endosseous?
Do not choose a technique on your own, consult with your dentists. Each technology has its own contraindications. In terms of the risk of implant rejection, the basal method shows much worse results. Moscow metro station Zvezdnaya, Danube Avenue, 23

Recommendations for choosing a clinic and implantologist

As mentioned above, basal implantation in the form in which it allows you to achieve high results is practiced today by very few specialists. In order not to run into a “fake” and not to become a victim of inexperienced doctors, but to get a guaranteed high result of the work done, I recommend paying attention to the following points.

The most important thing is that the doctor has a certificate issued by the International Implant Foundation. It is this association that has been actively studying and introducing into practice methods of one-stage implantation with immediate loading for many decades, including the basal complex. Currently, the foundation has introduced a five-step training that every specialist practicing these protocols must undergo. Naturally, the doctor must be accredited by the company that manufactures the basal implants.

Stages

Any dental implantation, including basal, involves 6 main stages:

• diagnosing;
• drawing up a treatment plan;
• sanitation of the oral cavity;
• implantation;
• prosthetics;
• rehabilitation.

The purpose of diagnosis is to obtain a complete picture of the dentofacial apparatus to draw up a treatment plan and determine contraindications. Diagnosis consists of interviewing the patient, examining the medical history, examining the oral cavity and fluoroscopy. If necessary (to clarify systemic diseases), laboratory tests are prescribed - blood tests, urine tests, etc.

During examination, the alveolar process is palpated to determine the configuration and volume of the bone. The presence of dental diseases and lesions of the oral mucosa is established.

Fluoroscopy in the form of orthopantomography, teleradiography and targeted images allows you to assess the condition of teeth and roots, and determine the presence of impacted teeth. Diseased units that cannot be treated should be removed.

A computed tomography scan is performed. Based on its data, three-dimensional virtual models of jaws and surgical templates are built. The use of 3D navigation allows you to determine a safe place to install the implant and avoid complications such as damage to the mandibular nerve, maxillary sinuses and arteries.

An obligatory point of any implantation is sanitation of the oral cavity: cure of acute pathologies and transfer of chronic ones into remission.

Local or general anesthesia is used. The latter is relevant when installing highly traumatic BOI/TOI.

What prosthetic possibilities does the technology offer?

The denture is usually placed 2-3 days after the implantation procedure. By this time, the orthopedic design will be ready, since its development begins at the stage of planning the operation - using the capabilities of three-dimensional computer modeling. Literally a couple of days break between direct implantation and installation of the prosthesis is necessary for minimal tissue restoration so that the prosthesis does not subsequently cause discomfort.

The first adaptive prosthesis assumes the presence of a strong base made of metal - it unites the implants and prevents them from changing their position even under chewing load. The acrylic part covers the uneven gingival margin, and lightweight plastic crowns allow you to return your smile to its former aesthetics and functionality. This design is fixed for a period of six months to a year, although its maximum operational period can reach 5 years (but with very good care).

How are crowns attached during basal implantation? In the case of the Basal complex, the fastening of crowns - or rather an extended prosthetic structure of 12 crowns and a gingival base - is done using cement. In all other one-stage methods (all-on-4, all-on-6), screw fastening is assumed, with the possibility of removing and relining the prosthesis. As for the Basal complex, a large number of implants are used at once, so in the future there is no need for large-scale correction of the prosthesis. And the metal base is simply sawed off when changing the prosthesis. But this does not affect the quality of implant fixation - you don’t have to worry.

A permanent orthopedic system gives the patient the opportunity to choose the material for the crowns: zirconium dioxide, ceramic composite or metal ceramics. This design will also include an acrylic part - artificial gum. If the patient decides to refuse it, he will have to undergo a gum plastic procedure, and then it will be possible to install a prosthesis consisting only of crowns (but this is not always possible, since implantation is often carried out against the background of an acute deficiency of both bone and mucous membrane) . But, as a rule, doctors do not recommend doing this, because in fact the gums come out poorly - they are uneven in rows and atrophied along with the bone. It is better to cover its contour with a small piece of acrylic gum, which will not be noticeable at all even with a wide smile, and even more so during a conversation.

In what cases is complex implantation indicated and contraindicated?

The technology under consideration is indicated in the absence of all teeth in the upper or lower jaw or in the presence of a small number of teeth in a row, but rotten and destroyed, that is, requiring immediate extraction. Other indications include pronounced resorption of the alveolar ridge, and therefore the inability to reliably fix implants of classical models. Basal Complex becomes a real salvation if for some reason the patient cannot undergo a bone grafting procedure or, for example, continue to wear a removable denture, or suffers from periodontitis or periodontal disease, inflammation of the bone tissue. The technology is recommended for smokers and elderly people.

As for contraindications, basal implantation has very few. For example, surgery is not performed for diabetes mellitus (but only if there is a decompensated form), serious problems with the heart and blood vessels, nervous and immune systems, in the presence of malignant neoplasms, infectious diseases, which include tuberculosis and HIV. This protocol is not recommended for increased tone of the masticatory muscles. However, like any other implantation. In general, there are much fewer contraindications for this method due to the wider range of problems being solved.

(implantation with instantaneous loading)

The loss of one or more teeth is an absolutely solvable problem in modern dentistry, which has an effective method of restoring teeth using various types of implantation. Currently, due to aggressive advertising, basal implantation (also called implantation with instant loading) is of particular interest among patients.

If you believe the advertising, then thanks to this method you can quickly and reliably restore lost teeth, fully restore the chewing function and the beauty of your smile.

Prices

The price includes:

anesthesia, computed tomography, installation of implants, fixed bridge prosthesis made of milled plastic using CAD/CAM technology.

Picked myself up piece by piece after the accident

Marina is a young girl, but it so happened that she was in a serious accident several years ago. There were numerous fractures and bruises regarding the teeth - 7 of them on the lower jaw became completely unusable. While I was recovering from various surgeries and physical therapy, I had no time for teeth. But when the time came to turn to this side of the issue, this is what happened.

“After two years of treatment and endless sick days, I felt better, and I wanted to take care of my appearance. The first thing is to restore my smile, I’m not an old woman, but a quite young girl, I’m 32 years old. I immediately ruled out removable dentures for myself on an ongoing basis; already during this time I had been wearing them, and I realized that implantation was my only option. I went to the dentist, where they told me that the bone had atrophied over several years and my seven teeth could not be restored without bone grafting. I wouldn’t have survived another operation mentally, and I wanted the result immediately after so much suffering.

I read the reviews and found out that there are institutes or clinics for basal implantation, but they are only in Moscow, we don’t have them in Kirov. Fortunately, the plane ride is short. I called and was asked to do a CT scan in my city and send it by mail + a blood test. After which they calculated the option of restoration using 10 implants, and invited me to the city. On the first day, the examination, on the second, installation, on the fifth, they put on the prosthesis, and I flew back. It didn’t hurt at all, and recovery was going well, but maybe I’m used to it after so many interventions in my body. I'm happy with everything. Yes, from time to time I had to fly again for inspections, but I combined this with a short vacation, especially since tickets can now be bought very cheaply.”

And indeed, if we consider Marina’s situation, then basal implantation was the most wonderful option for her. Reviews from former patients on the forums did not deceive the girl; the technique makes it possible to completely eliminate surgery to build up bone tissue in case of atrophy, and almost simultaneously install implants and a fixed functional prosthesis on them.

This is what implants look like on an x-ray

Why is bone grafting not necessary? Experts explain this by saying that this is possible due to the special shape of the implants - they are one-piece and are installed at an angle in the lateral parts of the bone. This makes it possible to bypass atrophied areas and use the cortical and basal layers (they are very dense and sterile, located deep, atrophy is completely excluded here). And sometimes they are even attached outside the jaws - for example, in the chin or cheekbones. Here the bone is not subject to destruction at all, so the implants can be said to be attached forever.

Interesting fact: earlier the parts of the skull, i.e. not jaw bones, were used to attach implants in “complex” patients, for example, with bone fractures, or in oncology. Today, the indications for the use of such implants (they are very long) have been expanded. They make it possible to rehabilitate those who have severe atrophy.

Thanks to such a large number of artificial roots, there can be from 8 to 12 of them per jaw, a fixed prosthesis with a metal component (everything is designed individually), is attached either on the day of their installation, or after 3-5 days immediately on a cement composition, and does not require corrections and relines. After all, implants serve as a reliable support for it, evenly distribute any load, and form the correct bite. You can and should eat and smile immediately after the procedure.

The photo shows the restoration of teeth in the lower jaw

In her review of basal dental implantation, the patient emphasizes that she had to go to Moscow for treatment at the Institute of Basal Implantation. Unfortunately, in the regions, specialists sometimes do not have the opportunity to obtain the necessary skills and qualifications that are needed for an implant surgeon and maxillofacial surgeon in order to install implants at the highest level. Everything also depends on the fact that such training often needs to be completed in Europe, and the clinic must be equipped with the latest technology. After all, the basal complex requires the presence of 3D programs for working out the stages of treatment, scanners and three-dimensional printers. To make the process go quickly, you also need to have representatives of implant manufacturing companies nearby.

Summarizing

As mentioned earlier, the choice of basal or classic implantation should be left to the dentist, who will evaluate the overall picture, on the basis of which a decision will be made. But we can confidently say that when restoring one or two teeth, it makes sense to use classical implantation, and to restore three or more – basal. Both procedures, with properly selected therapy and selected materials, will not only provide the patient with full chewing function, but also restore the aesthetics of the smile.

Disadvantages and possible complications

The basal method of dental implantation can only be performed by experienced specialists who have undergone additional training in working with systems for immediate loading. In addition, fluency in the necessary 3D modeling computer programs is required. Also, the doctor must have deep knowledge not only in dental implantology, but also in maxillofacial surgery, orthopedics and other related areas of dentistry. In fact, this is the main disadvantage or shortcoming of the concept. In Russia there are not yet many experts capable of performing a high-quality operation without complications, and this is a problem in general with all immediate loading protocols.

Complications, as a rule, result from errors made by the doctor during the procedure, or poorly performed preparatory manipulations, which can result in contraindications being missed or the locations and implants themselves being selected incorrectly. It is worth understanding that nagging pain and slight swelling are a completely natural reaction of the body to tissue injury, so there is nothing to be afraid of. But complications that require medical intervention include damage to the nerves and maxillary sinuses, suture dehiscence and prolapse of structures - in such situations, the main thing is to consult a doctor in a timely manner, such problems are completely solvable.

The most serious complication after implantation is considered to be peri-implantitis - inflammatory processes that spread in the tissues holding the artificial root. This problem often arises due to non-compliance with basic rules of oral care and abuse of bad habits. If no measures are taken in a timely manner, implant failure may soon occur.

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Summary:

For the following groups of patients, basal implantation will be one of the most preferred techniques...

• if you smoke,
• there is a lack of bone volume at the implantation site (and you do not want to undergo bone grafting and especially sinus lift surgery),
• elderly age,
• for women during menopause,
• for osteoporosis,
• if you have hypertension,
• compensated diabetes mellitus.

We have identified patients in a special group who, due to various diseases of the nose, mouth and throat, will have an increased number of pathogenic bacteria in the oral cavity, which sharply increases the risk of inflammation around the installed implants and their rejection. For these groups of patients, the basal implantation technique is also more suitable -

• for chronic gum inflammation,
• for chronic tonsillitis,
• with irregular oral hygiene,
• dryness of the oral mucosa,
• mouth breathing (chronic nasal congestion).

Comments

It's great that people have the opportunity to stop being embarrassed about their smile! Tell me, is inflammation in the maxillary sinuses the only contraindication to the procedure or are there any others?

Irina (06/18/2018 at 09:54) Reply to comment

I actually looked at a lot of reviews about basal implantation, from which I concluded that you can give yourself a beautiful smile in any hopeless situation. This just begs the question, what is the healing time after surgery? a week or two?

Sergey (06/18/2018 at 09:57) Reply to comment

My mother suffered from periodontitis and by the age of 45 she only had a few teeth left in her upper jaw. When searching for treatment options, we often came across reviews about basal implantation. We decided to have an operation. Now my mother is very happy because she can smile without embarrassment.

Alina (06/18/2018 at 10:01 am) Reply to comment

Only after reading this article did I learn about what basal implantation is and how quickly and efficiently it can replace lost teeth. Judging by the photos from patient reviews, their teeth began to look better than they probably did in their youth. and this procedure does not take much time.

Olga (06/18/2018 at 10:03 am) Reply to comment

Comprehensive article! I didn’t know that this operation uses 3D graphics and printing. I read reviews about basal implantation, see the results, and get inspired to go to the doctor. Four teeth on the upper jaw were completely crumbled. Can you tell me approximately how much it might cost me to replace them?

Artyom Poduzov (06/18/2018 at 10:16 am) Reply to comment

Finally, I found normal reviews about basal implantation! I would like to ask: are there cases when implants do not “take root” in the bone tissue and how common are they?

Olga (06/18/2018 at 10:20) Reply to comment

I read these reviews about basal implantation with interest, since the problem is pressing. I think that my sister will agree to this procedure, even though she is a big coward and her health is not good. Are there any absolute health contraindications for such operations?

Tatyana (06/18/2018 at 10:28 am) Reply to comment

Since childhood I have had bad lower teeth. The dentist recommended this operation to me. Now I’m reading reviews about basal implantation, and I’m wondering, will it all cost a lot?

Elena (06/18/2018 at 10:41 am) Reply to comment

At the age of 45, my brother was left without his upper teeth due to a fight. Now I’m studying all the available reviews about basal implantation. One question has arisen: how long will such implants last?

Olga (06/18/2018 at 10:44 am) Reply to comment

I read reviews about basal implantation, and in principle I believe everything. But I’m worried about one question: where can we perform such an operation, only a high-quality one? As I understand it, there are problems with this in the regions.

Dmitry (06/18/2018 at 10:54 am) Reply to comment

Quite an interesting method of restoring teeth, I would like to know how painful it is and whether there is any possibility of rejection or other side effects?

Anton (06/18/2018 at 11:03) Reply to comment

It happened to my brother that his little daughter hit her head hard on his teeth while they were playing. She knocked out his teeth and inserted some implants. Now he is generally afraid to play with his daughter and even eat very solid food. I read reviews about basal implantation and I want to ask: will it be painful or somehow uncomfortable to eat solid food with the kind of implants that are installed in your clinic?

Alla (06/18/2018 at 11:05) Reply to comment

Is it possible to have prosthetics done in the summer or is it better to wait until the cooler season? I'm afraid that it will take longer to heal and there will be side effects from the heat. Or is it not related to the weather?

Inna (06.27.2018 at 14:19) Reply to comment

Of course it’s a sight to behold, I mean the pins, but in general it’s great that teeth can be restored so easily, although the price is high. Do these pins really take root right away, will there be no rejection?

Anna (06.27.2018 at 14:25) Reply to comment

This, of course, is a wonderful solution for those who are missing at least several teeth in a row, and if only two are missing, and then in different places, in this case, is it possible to use basal implantation or is it better to stick with a banal pin?

Olga (07/09/2018 at 09:58) Reply to comment

My question is: as I understand it, pins are inserted into the bone tissue and prostheses are already put on them, but what should you do at the airport, for example, when going through a metal detector? Or, let's say, will I need to do an MRI?

Dmitry Reukh (07/09/2018 at 10:01) Reply to comment

Reviews about basal implantation are often excellent, but the pleasure costs fabulous money. What is the likelihood that the implants will not begin to be rejected by the body as a foreign body?

Anna (07/10/2018 at 08:16) Reply to comment

It’s nice to read reviews about basal implantation, it’s very encouraging, but not only is this procedure very expensive, there is always a chance that the implants will be rejected by the body, how can you know for sure?

Oleg (07/10/2018 at 08:19) Reply to comment

It’s nice to read reviews about basal implantation, they show how people’s lives are changing for the better, but the price is biting, is there a tendency for it to decrease, or, on the contrary, will it only increase?

Ksenia (07/10/2018 at 08:31) Reply to comment

I read reviews about basal implantation and understand how dramatically this procedure changes people’s lives for the better, I also dream, but the price is prohibitive for me, will prices for this technology decrease over time?

Lyudmila (07/10/2018 at 09:01) Reply to comment

In terms of money, it turned out to be not as expensive as I thought; I was interested in this operation because I have specific problems with my teeth. My question is: how strong are these implants and will I be able to fully engage in boxing after the operation?

Alexey (07/10/2018 at 09:23) Reply to comment

Honestly, I put off going to the dentist for so long. But I have a bridge and it started to sway, I couldn’t even eat properly. I went to a regular clinic, took a picture, and there they shocked me that everything was bad and my teeth couldn’t be saved. I ask: what should I do? They told me that implantation would take place, but not in our clinic. Look for a good paid clinic. Yes, we need to solve everything quickly, otherwise the entire load will go to the opposite side, which is not good. My friends recommended the IBI clinic with their basal implantation. They performed implantation on me, it’s strange, but it seemed to me that it was more painful to treat teeth than to install implants. I didn't feel anything. They did everything very well for me, now I’m already used to my new teeth. I'm very pleased with the result.

Ulyana (07/12/2018 at 00:16) Reply to comment

It’s nice to read reviews about basal implantation; they are certainly motivating. The question that interests me is how durable this design is, is there a guarantee that the implant will not be rejected by the body?

Julia (07/12/2018 at 11:50) Reply to comment

I read reviews about basal implantation and am inspired by people’s stories, since I am planning to resort to this procedure myself. I have a fear that the implants will not take root, is it justified?

Vika (07/12/2018 at 12:42 pm) Reply to comment

Yes, teeth mean a lot in our lives, reviews of basal implantation confirm this, but the price so far, of course, is space! When the technology becomes available to the general population, will the price fall?

Julia (07/12/2018 at 01:30 pm) Reply to comment

It’s nice to read positive reviews about basal implantation, this gives significant support, but no one talks about the pain of the procedure, I would like more details on this topic, how painful is it?

Veronica (07/12/2018 at 01:32 pm) Reply to comment

Ulyana, who did all this for you? They say that the doctor who developed this technique conducts the consultation at the clinic.

Marina (07/15/2018 at 21:36) Reply to comment

Cool technology, it definitely looks great, I think everyone will agree with me, the question is, does it harm the body and how long should it be worn, if they don’t fit, what should I do??

Nikita (07/16/2018 at 09:50) Reply to comment

So far I have not come across an advertisement for a basal implantation clinic. Those. Not everyone does it. How to avoid running into unqualified specialists. Can anyone recommend a specific doctor in Moscow? The technique is very interesting, maybe I’ll decide to install such implants instead of my removable denture.

Peter (07/16/2018 at 10:22 am) Reply to comment

[…] will be a comprehensive dental restoration using basal technology. In this case, special implants are used […]

Periodontitis: symptoms, causes of the disease, how to treat. (07/18/2018 at 09:00) Reply to comment

Marina, yes, it was Stefan Ide who received me. I made an appointment with him specifically. I was very impressed with the doctor! If you want to go there, be sure to find out so you can get to him. There are a lot of good specialists there, but he won me over.

Ulyana (07/29/2018 at 08:42 pm) Reply to comment

[…] cortical, not just soft spongy. Patients respond well to this protocol because it is a real […]

All about what adentia is: types, causes and treatment (07/31/2018 at 09:00) Reply to comment

Marina, I’ll support Ulyana, it’s a very good clinic. They helped me with my long-standing problem + corrected the mistakes that were screwed up for me at another clinic. At least now I can chew and smile normally.

Ruslan (08/05/2018 at 22:46) Reply to comment

I am glad that our medicine has reached the point where you can regain a beautiful smile and shine (not only in your eyes) in several operations (or even one). The only question is the cost of such happiness. Do you have approximate prices for this service?

Marina (08/07/2018 at 15:18) Reply to comment

I read stories and understand how important teeth are in our lives, of course we need to take care of them from a young age, but nature is not always for us, so I’m glad that there is implantation, but I’m just tormented by doubts whether they will really feel like family&

Julia (08/07/2018 at 15:32) Reply to comment

Stories of real people give an understanding of how important a beautiful, healthy smile is in our lives, but what if the implants do not take root? Is there any guarantee or insurance for this case?

Olga (08/07/2018 at 15:34) Reply to comment

Thank you for your responsiveness! I only recently learned about the Institute of Basal Implantation with their technique, so I’m collecting people’s opinions so that I know what to mentally prepare for.

Marina (08/12/2018 at 08:27 pm) Reply to comment

Always prepare yourself for the best! Well, go for a consultation to know for sure.

Ruslan (08/24/2018 at 00:00) Reply to comment

If you decide to undergo basal implantation, then it is best to have it done at the Institute of Basal Implantation, for the simple reason that the author of the technique, Professor Stefan Ide, performs the operation here. This is a guarantee that the implants will be installed correctly. It didn’t even bother me that I lived in another region, and that I had to go to Moscow, but I didn’t know my way around the capital at all. The center provides transfers for non-residents, so there is no need to wander around the capital. And the implantation itself gives results within a few days, and you return home with new teeth. Now I’m only returning to the clinic for follow-up examinations.

Roman (04/15/2019 at 10:52 am) Reply to comment

I also got implants at the Institute of Basal Implantation, it’s been a month so far everything is settling in. The clinic is good, the specialists are also all very friendly, I’ve already made an appointment with Stefan Ida, we’ll do more work.

Maria (09.20.2019 at 00:29) Reply to comment

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How is the implant fixation procedure performed?

First, anesthesia injections are given (in general, local “freezing” is sufficient, but intravenous sedation can also be used), after which the diseased teeth are removed (if they remain). Surgical templates, previously created using 3D modeling programs, are then placed on the gums. Essentially, these are elastic stencils through the holes in which the implants are screwed - this allows you to avoid even the slightest deviations from pre-selected points for implantation. The concept involves minimal tissue damage - the surgeon does not need to cut the gum and peel off part of it. Small holes are formed in the bone, exactly corresponding to the diameter of the implants, after which they are screwed into the thickness of the bone tissue, which, in turn, is compacted and thereby increases the degree of primary fixation of the structure.

“By the age of 40, the teeth on the upper jaw had completely deteriorated, began to decay and fall out. Many had to be removed and a conventional prosthesis installed. To be honest, it was very difficult to bear, both physically and psychologically. And only recently I decided to get implants. There were few options, the doctor recommended surgery using basal technology, since it turned out that my bone tissue was very thin, and in some places there was even inflammation. I was very worried about the operation, but everything went better than ever! And after the operation I didn’t suffer much, everything somehow healed quickly. But the best part is that I got new teeth in 4 days! More beautiful than they were in their youth! The doctors did a brilliant job, for which I am very grateful to them!”

Potapova Lyudmila D., 53 years old, Moscow, review from the website of one of the dental clinics in Moscow

This method is called minimally invasive; it does not involve incisions, deep bone drilling or sutures. Due to this, postoperative rehabilitation is quick and less painful for the patient than in the case, for example, with the classical technique. Recovery takes literally a couple of days, and complete rehabilitation takes about a week.

Got a new smile in 3 days after completely edentulous both jaws, and age was not a hindrance

Valentina Aleksandrovna is 64 years old, but despite her age, she leads an active lifestyle, spends time not only with her grandchildren, but also still gives lectures at the university for her beloved students. She said that the Internet is not some kind of innovation for her, she mastered it a long time ago and quickly, and is aware of the latest events. As for losing teeth, I wore removable dentures for a long time, but I already dreamed of getting rid of them as soon as possible, since I felt very insecure with them. As the patient says, she came across a forum about basal implantation, and did not do anything else until she read all the reviews. She doesn’t hide the fact that it was her favorite “Malakhov Plus”. Here's what she had to say about her story:

“After all these reviews on the forum, I was inspired by the idea of ​​getting basal implants. I learned, especially, that long-term wearing of removable dentures and complete absence of teeth are not a problem for this method of treatment. I live in Moscow, so I came to the clinic with a specific request: I am a teacher, and, despite my age, I need to quickly get all my teeth done. The doctors' main question was about examining my body; they asked me to visit a cardiologist. Moreover, I was counting on general anesthesia, because I was told that 10-12 implants needed to be placed on each jaw, the bone from the removable dentures had sagged a lot. The consequences were also frightening. In one clinic they said that I was too old, I might not be able to stand it, to put it bluntly, they got off without any difficulties. But in another dentistry I found what I was looking for: they had an agreement with the service of cardiologists and resuscitators, the technology was borderline fantastic, the doctors gathered a consultation, and... they didn’t give up on me, but helped me a lot!

As a result, I was examined, they prepared me, all my body indicators were monitored during the process, they say that two hours have passed. And the result shocked me so much that it’s hard to say. It's like I've gotten younger. True, only a month later it became visible, when the swelling went down, and there was practically no pain at all. My teeth are beautiful and straight, and I am beautiful. I'm happy and the doctors are just great. For all the pleasure, by the way, I paid 480 thousand rubles, and it was a turnkey job, without additional payments. Plus they gave us a lifetime guarantee on everything.”

Basal implantation on all teeth, before and after photos
The patient was refused in one clinic due to her advanced age, but if doctors really carry out basal dental implantation, then this should not scare them at all. Yes, it is a huge responsibility to carry out the procedure in conditions of bone atrophy, and even under anesthesia (for this, the clinic must have a safety net, an intensive care unit on duty, and a ventilator). However, neither age-related characteristics, nor compensated diabetes mellitus, nor osteomyelitis, nor long-term wearing of removable dentures are a contraindication to the procedure. A contraindication to the procedure is incompetence and ignorance of the technique on the part of the doctor.

As for pain, even with interventions such as implantation of both jaws, healing will take place very quickly. After all, before the procedure itself, the doctor carefully studies or “plays out” it in advance using three-dimensional computer modeling. To do this, the patient’s computed tomography or MSCT data is loaded into a special program, where the specialist sees all the nuances, selects basal implants, literally calculates their position in the bone down to the millimeter, and prints out surgical templates. It is these templates that allow patients to easily undergo the procedure, and doctors to avoid mistakes and omissions. The doctor screws the implant through the holes in them, which eliminates injury to neighboring tissues and the risk of infection.

Having listened to such touching reviews from patients about basal implantation, which literally changed their lives for the better in a matter of days, we could not ignore the reviews of doctors. After all, it is very important what the specialists themselves think about the procedure. In Moscow, we found quite a few clinics where basal implantation is performed. But which of them can you trust? The question is, of course, complex.

Implantation on basal implants for large bone loss

For a comment, we turned to one of the clinics (we will not name the name so that it does not look like advertising), whose specialists have been working not only with basal implantation for 10 years now, but also with many other protocols that allow you to restore teeth in 2-3 days . “Naturally, all implantation methods today have certain advantages and disadvantages. As for the basal complex, it is, in principle, difficult for other protocols to compete with it, especially when it comes to complete adentia and inflammatory processes in periodontal tissues. However, it is very important to choose a doctor who has the necessary knowledge in this area and can confirm it with successful work experience, certification, and patient reviews. It is also important for the patient to show responsibility and follow the doctor’s recommendations, and then there will be no need to worry about a successful result,” the clinic explained.

Watch a video on basal implantation

It’s wonderful when patients not only talk about their miraculous healing on forums, but also agree to talk about treatment with editorial representatives. Then we have a unique opportunity to feel their story, find a response in our hearts, and discover similar problems. We hope that everyone, after reading this material, will be able to draw conclusions and take note of what problems dental implantation can solve today.

A detailed report from the Smile-at-Once clinic on how basal implantation is performed. Patient review

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1. Iordanishvili A.K., Veretenko E.A., Serikov A.A., Lobeiko V.V., Balin D.V. Complete loss of teeth in an adult: age-specific prevalence, need for treatment and clinical picture, 2015.